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13 Aug 2018

1 Deficiency of Iodine

2 Deficiency of Folate in pregnant women

3 Basics of Dietary Supplement Health and Education Act of 1994

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Nelly Stracke
Nelly StrackeLv2
15 Aug 2018

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Related questions

A baby boy aged 6 weeks, showed symptoms of pronounced hyperammonemia, which included vomiting, fever, irritability, and screaming episodes interspersed with periods of lethargy. The baby had low levels of blood urea, elevated serum transaminase, and generalized hyperaminoacidemia and aminoaciduria. The levels of citrulline, argininosuccinate and arginine were relatively low in both blood and urine.

Enzyme assays of liver tissue showed that the levels of mitochondrial carbamoyl synthetase (CPS) was approx. 20% of normal; the enzyme was active only in the presence of relatively high concentrations of N-acetylglutamate. All other urea cycle enzyme levels were relatively normal. The baby was treated with a supplement containing arginine, pyridoxine and α-keto analogs of essential amino acids (those that cannot be synthesized by humans). As part of the therapy, dietary protein was also restricted

Please explain

1) Why were blood levels of ammonia high in this baby?

2) Explain why infants with CPS deficiency normally show relatively low blood levels of citrulline, argininosuccinate, arginine and urea?

3) Why is the administration of an arginine supplement recommended for this infant?

4) Why was dietary protein restricted?

Many scientific studies of dietary health effects are observational. Compared to experimental studies, observational studies can extend over a longer time period, use a more representative population, and measure disease outcomes in addition to risk factors for disease. In an observational study, researchers enlist a study group, and use questionnaires and medical tests to quantify participants' health behaviors and status at the start of the study. The researchers continue to collect data on the participants over many years. Information about each particpant's diet, lifestyle habits, risk factors, and disease outcomes are all recorded and analyzed. A landmark study of this type -- called the Nurses' Health Study -- was begun in 1976 with more than 120,000 female nurses. Data from a subset of this group (80,082 women) was used to study dietary fat intake from 1980 to 1994. One goal of that study was to measure the effect of dietary trans fats on cardiovascular health. Do you understand how the Nurses Health observational study of dietary fats was set up and carried out? Sort the statements into the appropriate bins depending on whether they represent factors that varied from participant to participant at the start of this study, factors that were consistent from the start of the study, and factors that were measured in the study.

11. Which of the following is an attribute of a scientifically literate person?

A. Creates templates for understanding

B. Constructs hypothetical arguments for discussion

C. Respects the rights of self determination

D. Uses scientific evidence to understand the natural world

E. Reports on social phenomena consistently

12. Which of the following does not contribute to the Calorie intake of a person?

A. Protein

B. Carbohydrate

C. Fat

D. Alcohol

E. Water

13. Which of the following is not a technique used to measure body composition?

A. Skin-fold calipers

B. Bod PodÒ

C. Body mass index

D. Hydrostatic weighing

E. Light absorption technique

14. Which of the following behavioral techniques supports healthy body weight changes?

A. Feasting

B. Fasting

C. Goal setting and a plan

D. Eating vegetables and meat

E. Regularly measuring body composition

15. The purpose of the warm-up is to:

A. Slowly increase the pulse rate to an aerobic level.

B. Facilitate vascular changes (splenic shunt) to accommodate aerobic exercise.

C. Gear up the energy metabolism, i.e., increase the delivery of oxygen and nutrients to the working muscle, and raise the temperature to an optimal level for energy production.

D. Increase the elasticity of the muscle fibers, which helps to prevent muscle, tendon, ligament, and joint injuries, as well as improve muscle contraction and preserve muscle glycogen in addition to reducing the amount of lactic acid build-up in the muscles.

E. All of the above

16. Which of the following reflects an improvement in cardiovascular health resulting from regular engagement in aerobic exercise?

A. Increased lean body mass

B. Increase in high-density lipoprotein cholesterol (HDL)

C. Stress relief

D. Improvement in sleep pattern

E. Reduced risk for developing certain types of cancer

17. The purpose of a cool-down is to:

A. slowly decrease pulse rate.

B. decrease core body temperature.

C. slowly constrict blood vessels.

D. continue adequate supply of blood to the brain, and facilitate removal of metabolic waste products from the muscles.

E. All of the above

18. A person trying to gain lean body mass has:

A. increased fluid needs.

B. decreased fat needs.

C. altered fitness needs.

D. increased protein and strength training needs.

E. decreased electrolyte needs.

19. Vitamin A in the form of _____ is used to treat acne.

A. retinol

B. retinal

C. retinoic acid

D. beta-carotene

E. lycopene

20. Which of the following is a genetic disease for which a low intake of copper is a component of treatment?

A. Pellagra

B. Wilson’s disease

C. Hemochromatosis

D. Beriberi

E. Goiter

21. Which of the following nutrients is used to treat scurvy?

A. Folate

B. Riboflavin

C. Vitamin C

D. Niacin

E. Vitamin D

22. Which of the following groups is at highest risk for hemolytic anemia?

A. Premature infants

B. Elderly people who do not get exposure to sunlight

C. Pregnant women

D. Teenagers who do not drink enough water

E. Someone who does not consume animal meat or products

23. Iron deficiency causes:

A. microcytic normochromic anemia.

B. macrocytic hypochromic anemia.

C. microcytic hypochromic anemia.

D. macrocytic normochromic anemia.

E. macrocytic hyperchromic anemia.

24. Acrodermatitis enteropathica is caused by a deficiency of:

A. iron.

B. zinc.

C. chromium.

D. choline.

E. molybdenum.

25. Which of the following is required for the absorption of vitamin B12?

A. A coenzyme

B. Intrinsic factor

C. Vitamin C

D. Bile acids

E. None of the above

26. Which nutrient potentiates the action of insulin?

A. Magnesium

B. Fluoride

C. Chromium

D. Selenium

E. Iodine

27. Which mineral is a central component of vitamin B12?

A. Iron

B. Copper

C. Cobalt

D. Zinc

E. Molybdenum

28. Iodine is a component of:

A. hemoglobin.

B. myoglobin.

C. intrinsic factor.

D. insulin.

E. thyroxine.

29. Which of the following statements is not true regarding the diagnosis of a nutritional deficiency?

A. Dietary records should demonstrate low intake for that nutrient.

B. Blood levels should demonstrate high body levels of the nutrient.

C. Tissue levels should demonstrate low body levels of the nutrient.

D. Nutrient supplementation should correct the deficiency symptoms.

E. Clinical deficiency symptoms should be compatible with a low dietary intake.

30. Vitamin C helps maintain tissue integrity by:

A. neutralizing foreign proteins.

B. creating an alkaline cell environment.

C. recognizing cell boundaries.

D. forming collagen to bind cells together.

E. increasing inflammation

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